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Individual

MS. DIANNA PURDOM BARKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
333 S 3RD ST, SUITE A, DANVILLE, KY 40422-2016
(859) 236-7712
(859) 236-7246
Mailing address
333 S 3RD ST, SUITE A, DANVILLE, KY 40422-2016
(859) 236-7712
(859) 236-7246

Taxonomy

Speciality
Code
Description
License number
State
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
2986P
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0000000278302
BS
01
2986P
LICENSE
KY
01
7545155
AETNA
KY
05
78009057
KY
Enumeration date
11/14/2005
Last updated
11/24/2015
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